GLEN P AYLWARD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002533

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

Last Name

AYLWARD

Business Name

GLEN P AYLWARD

Original Issue Date

11/21/1979

Effective Date

07/30/2020

Expiration Date

09/30/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/28/2022